CN105615976B - Device is raised for vertebral plate - Google Patents

Device is raised for vertebral plate Download PDF

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Publication number
CN105615976B
CN105615976B CN201610042616.4A CN201610042616A CN105615976B CN 105615976 B CN105615976 B CN 105615976B CN 201610042616 A CN201610042616 A CN 201610042616A CN 105615976 B CN105615976 B CN 105615976B
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CN
China
Prior art keywords
linkage section
anterior
vertebral plate
handle
long side
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201610042616.4A
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Chinese (zh)
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CN105615976A (en
Inventor
刘屹林
郑文迪
赵亮
宋瑞鹏
王玉强
朱忠培
张杨
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Priority to CN201610042616.4A priority Critical patent/CN105615976B/en
Publication of CN105615976A publication Critical patent/CN105615976A/en
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Publication of CN105615976B publication Critical patent/CN105615976B/en
Expired - Fee Related legal-status Critical Current
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to raise device for vertebral plate,Effectively solve neck posterior approach and push open enabling side to raise in vertebral plate operation,Rongeur in-convenience in use,Hardly possible operation,Effect is poor,Vertebral plate is when raising,Easy resilience,The problem of causing peril to occur,It is anterior L-shaped,Anterior bending place is first summit,Anterior long side rear end and the upper end of linkage section obliquely connect,Linkage section and anterior short side are mutually arranged separately on the long side both sides of front portion in opposite direction,The lower end of linkage section and handle obliquely connect,Handle and anterior long side are mutually arranged separately on the both sides of linkage section in opposite direction,It is anterior,The center line of linkage section and handle is in the same plane,The junction of linkage section and handle is second summit,The present invention is simple in construction,It is easy to use,It is easy to operate,Operating efficiency is high,Solves the problems, such as vertebral plate resilience when raising,Improve the security of operation.

Description

Device is raised for vertebral plate
Technical field
It is particularly a kind of to raise device for vertebral plate the present invention relates to medicine equipment.
Background technology
Anterior cervical operation clinically becomes due to updating and promoting in treatment low portion of neck and short segment cervical spondylotic myelopathy Good result is achieved, but solves Multilevel cervical spondylotic myelopathy and becomes still abnormal difficult.Therefore neck posterior approach then turns into treatment The conventional modus operandi of Multilevel cervical spondylotic myelopathy.Posterior approach is by expanding canalis spinalis, by the presence of physiologic radian, ridge Marrow moves after under " bowstring principle " acts on, and alleviates front and causes compressing of the pressure thing to spinal cord.
The operating procedure of neck posterior approach is at this stage:Patient takes prostrate, Qu Jing, upper body to raise position.Local infiltration anesthesia Or general anesthesia, using straight cut is hit exactly after neck, cut subperiosteum after ligamentaum nuchae and peel off and appear spinous process, bilateral lamina and articular process Inside portion, according to the positioning of spinous process form, appear lesion segment each vertebra section up and down.Punched in vertebral plate spinous process linking part, two Lateral margin in the articular process of side vertebral plate, side elect hinge side as, grind off or bite away vertebral plate outer cortex bone and part cancellous bone, make V Shape bone groove, its bottom is not up to vertebral plate internal layer cortex but cutting off, and opposite side is enabling side, row strip Laminectomy, and bilateral all should be Operated on the inside of articular process on vertebral plate.Ligamentum flavum between the upper and lower vertebral plate of enabling section and under the vertebral plate of enabling section is cut off, appears vertebra Pipe.Each vertebral plate in section that will open the door is suspended on the capsular ligament of right side with " 10 " number silk thread.Being pushed open by lateral hinge side of opening the door makes V shapes Mouth is gradually drawn close, and is raised and is not easy wide, the otherwise possibility of easy increase offside complete fracture, or even cause tight to canalis spinalis internal shift etc. Weight consequence.Appear dura mater, dural surface gelatin foam or take correspondingly sized fatty piece covering.Wound puts negative-pressure drainage tube.
When neck posterior approach carries out pushing enabling side open and raises the step for vertebral plate is depressurized, there is presently no special Instrument, vertebral plate is raised push open enabling side usually using the rongeur of sharp mouth, in this course may be due to stinging bone The fixed shakiness of pincers causes serious consequence, such as, when pushing enabling side open and raising vertebral plate, because rongeur fixes unstable, enabling side Vertebral plate is raised when raising, is easy to resilience, and is beaten on the spinal cord of intraspinal tube, the major accident for causing patient to paralyse, therefore, So far, there has been no easy to use, easily operation can be used in neck posterior approach and push open enabling side raising operation in vertebral plate Instrument.
The content of the invention
For the above situation, to overcome prior art defect, the purpose of the present invention is just to provide a kind of lifting for vertebral plate Drive device, can effectively solve neck posterior approach and push open enabling side to raise in vertebral plate operation, rongeur in-convenience in use, hardly possible behaviour Make, effect is poor, and vertebral plate is when raising, easy resilience, the problem of causing peril to occur.
The technical scheme that the present invention solves is, anterior L-shaped, and anterior bending place is first summit, anterior long side Rear end and the upper end of linkage section obliquely connect, and linkage section and anterior short side are mutually arranged separately on front portion in opposite direction Long side both sides, the lower end of linkage section and handle obliquely connect, and handle and anterior long side are mutually distinguished in opposite direction Be arranged in the both sides of linkage section, the center line of anterior, linkage section and handle in the same plane, the connection of linkage section and handle Locate have the hook formation on two summits for second summit, composition.
The present invention is simple in construction, easy to use, easy to operate, substantially increases operating efficiency, efficiently solves vertebral plate and lifting When opening the problem of resilience, the generation of malpractice is avoided, improves the security of operation.
Brief description of the drawings
Fig. 1 is the structural front view of the present invention.
Fig. 2 is the use state diagram of the present invention.
Embodiment
The embodiment of the present invention is elaborated below in conjunction with accompanying drawing.
Provided by Fig. 1-Fig. 2, structure of the invention is that anterior L-shaped, anterior bending place is first summit 1, anterior The rear end of long side 2 and the upper end of linkage section 3 obliquely connect, linkage section and anterior short side 4 are mutually distinguished in opposite direction The long side both sides of front portion are arranged in, the lower end of linkage section and handle 5 obliquely connect, and handle and anterior long side are mutually in phase Opposite direction is arranged separately on the both sides of linkage section, the center line of anterior, linkage section and handle in the same plane, linkage section and The junction of handle is second summit 6, forms the hook formation for having two summits.
Described front portion and linkage section are the plate body that thick 2-4mm, wide 0.8-2cm steel plate bending are formed.
The described anterior free end of short side 4 is pointed in vertebra.
The external stability on second described summit 6 has transverse axis 7.
Line between described first summit 1 and second summit 6 arranges with transverse axis in crosswise.
Described transverse axis 7 is the real core body that bottom is in circular arc, and the bottom of circular arc is pressed in close to the articular process side of vertebral plate Fulcrum is used as on the side outer wall of block 9, prevents that articular process lateral mass is caused to damage.
Described linkage section 3 and the slanted angle of anterior long side are 90 °.
Described linkage section 3 and the slanted angle of handle are 60-90 °.
The described anterior length of short side 4 is 0.4-1cm.
The described anterior length of long side 2 is 1.5-4cm.
The length of described linkage section 3 is 0.5-2.5cm.
The length of described handle 5 is 15-20cm.
It is convenient to hold fluted 8 on described handle 5, prevent from slipping.
In use, the present invention is inserted from the enabling side of vertebral plate 10, anterior short side is close to the vertebral plate close to canalis spinalis 11 On madial wall, transverse axis is pressed against on the side outer wall of the articular process lateral mass 9 of vertebral plate, with this as fulcrum, to articular process side Block direction pulls handle, you can raising for enabling side vertebral plate easily is realized, it is time saving, and it is laborsaving, make enabling side vertebral plate to hinge side vertebra Plate is pushed open, V-shaped part is gradually drawn close, and the width raised can be according to dynamics free hold, and rapidly, fast, enabling side vertebral plate is being raised When, stopped by the short side of front portion, even if resilience, will not also touch spinal cord, no slippage, devoid of risk, securely and reliably, user Just, operating efficiency is substantially increased, efficiently solves potential safety hazard, avoids the generation of malpractice, is subtracted so as to reach quickening Speed is pressed, improves the purpose of operation safety, in summary, the present invention has huge economic and social benefit.

Claims (6)

1. a kind of raise device for vertebral plate, it is characterised in that anterior L-shaped, anterior bending place is first summit(1), Anterior long side(2)Rear end and linkage section(3)Upper end obliquely connect, linkage section and anterior short side(4)It is in mutually phase Opposite direction is arranged separately on the long side both sides of front portion, the lower end of linkage section and handle(5)Oblique connection, handle and front portion Long side is mutually arranged separately on the both sides of linkage section in opposite direction, and the center line of front portion, linkage section and handle is same flat In face, the junction of linkage section and handle is second summit(6), form the hook formation for having two summits;Described front portion Short side(4)Free end is pointed in vertebra;Second described summit(6)External stability have transverse axis(7);Described linkage section (3)Slanted angle with the long side of front portion is 90 °;Described linkage section(3)Slanted angle with handle is 60-90 °.
2. according to claim 1 raise device for vertebral plate, it is characterised in that described front portion and linkage section is thickness The plate body that 2-4mm, wide 0 .8-2cm steel plate bending are formed.
3. according to claim 1 raise device for vertebral plate, it is characterised in that first described summit(1)With Two summits(6)Between line and transverse axis in crosswise arrangement.
4. according to claim 3 raise device for vertebral plate, it is characterised in that described transverse axis(7)It is that bottom is in circle The real core body of arc, the bottom of circular arc are pressed in the articular process lateral mass close to vertebral plate(9)Fulcrum is used as on the outer wall of side, is prevented pair Articular process lateral mass causes to damage.
5. according to claim 1 raise device for vertebral plate, it is characterised in that described anterior short side(4)Length For 0 .4-1cm;Described anterior long side(2)Length is 1 .5-4cm;Described linkage section(3)Length be 0 .5-2 .5cm;Described handle(5)Length be 15-20cm.
6. according to claim 1 raise device for vertebral plate, it is characterised in that described handle(5)It is upper fluted (8), it is convenient to hold, prevent from slipping.
CN201610042616.4A 2016-01-22 2016-01-22 Device is raised for vertebral plate Expired - Fee Related CN105615976B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610042616.4A CN105615976B (en) 2016-01-22 2016-01-22 Device is raised for vertebral plate

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Application Number Priority Date Filing Date Title
CN201610042616.4A CN105615976B (en) 2016-01-22 2016-01-22 Device is raised for vertebral plate

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CN105615976A CN105615976A (en) 2016-06-01
CN105615976B true CN105615976B (en) 2017-12-01

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101750913B1 (en) * 2017-01-09 2017-06-26 원유건 Device for fixing spine
CN111616755B (en) * 2020-05-13 2023-03-24 河南大学第一附属医院 Vertebral plate opening device
CN114098939B (en) * 2021-11-26 2024-07-05 中国人民解放军空军军医大学 Cervical vertebra single door operation vertebral plate opener capable of accurately implementing door opening angle

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100010546A1 (en) * 2008-07-11 2010-01-14 Elias Humberto Hermida Ochoa Minimally Invasive Instruments and Methods for the Micro Endoscopic Application of Spine Stabilizers in the Interspinous Space
CN202288428U (en) * 2011-10-24 2012-07-04 中国人民解放军第二军医大学 Vertebral plate spreader adopting laminoplasty
CN202801767U (en) * 2012-09-24 2013-03-20 中国人民解放军第二军医大学 Vertebral plate opener
CN103126731A (en) * 2013-01-30 2013-06-05 南京医科大学第一附属医院 Exposure device for vertebral column back-way small-incision paraspinal muscle clearance admission passage
CN204351913U (en) * 2014-12-10 2015-05-27 中国人民解放军第二军医大学 A kind of cervical vertebra plate dilator
CN205359612U (en) * 2016-01-22 2016-07-06 郑州大学第一附属医院 A lift ware for vertebral plate

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100010546A1 (en) * 2008-07-11 2010-01-14 Elias Humberto Hermida Ochoa Minimally Invasive Instruments and Methods for the Micro Endoscopic Application of Spine Stabilizers in the Interspinous Space
CN202288428U (en) * 2011-10-24 2012-07-04 中国人民解放军第二军医大学 Vertebral plate spreader adopting laminoplasty
CN202801767U (en) * 2012-09-24 2013-03-20 中国人民解放军第二军医大学 Vertebral plate opener
CN103126731A (en) * 2013-01-30 2013-06-05 南京医科大学第一附属医院 Exposure device for vertebral column back-way small-incision paraspinal muscle clearance admission passage
CN204351913U (en) * 2014-12-10 2015-05-27 中国人民解放军第二军医大学 A kind of cervical vertebra plate dilator
CN205359612U (en) * 2016-01-22 2016-07-06 郑州大学第一附属医院 A lift ware for vertebral plate

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